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      The eHealth Behavior Management Model: A Stage-based Approach to Behavior Change and Management

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          Abstract

          Although the Internet has become an important avenue for disseminating health information, theory-driven strategies for aiding individuals in changing or managing health behaviors are lacking. The eHealth Behavior Management Model combines the Transtheoretical Model, the behavioral intent aspect of the Theory of Planned Behavior, and persuasive communication to assist individuals in negotiating the Web toward stage-specific information. It is here — at the point of stage-specific information — that behavioral intent in moving toward more active stages of change occurs.

          The eHealth Behavior Management Model is applied in three demonstration projects that focus on behavior management issues: parent-child nutrition education among participants in the U.S. Department of Agriculture Special Supplemental Nutrition Program for Women, Infants and Children; asthma management among university staff and students; and human immunodeficiency virus prevention among South African women. Preliminary results have found the eHealth Behavior Management Model to be promising as a model for Internet-based behavior change programming. Further application and evaluation among other behavior and disease management issues are needed.

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          Most cited references39

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          Stages and processes of self-change of smoking: toward an integrative model of change.

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            The process of smoking cessation: an analysis of precontemplation, contemplation, and preparation stages of change.

            Traditionally smoking cessation studies use smoker and nonsmoker categories almost exclusively to represent individuals quitting smoking. This study tested the transtheoretical model of change that posits a series of stages through which smokers move as they successfully change the smoking habit. Subjects in precontemplation (n = 166), contemplation (n = 794), and preparation (n = 506) stages of change were compared on smoking history, 10 processes of change, pretest self-efficacy, and decisional balance, as well as 1-month and 6-month cessation activity. Results strongly support the stages of change model. All groups were similar on smoking history but differed dramatically on current cessation activity. Stage differences predicted attempts to quit smoking and cessation success at 1- and 6-month follow-up. Implications for recruitment, intervention, and research are discussed.
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              The impact of migration on HIV-1 transmission in South Africa: a study of migrant and nonmigrant men and their partners.

              To investigate the association between migration and HIV infection among migrant and nonmigrant men and their rural partners. The goal was to determine risk factors for HIV-1 infection in South Africa. This was a cross-sectional study of 196 migrant men and 130 of their rural partners, as well as 64 nonmigrant men and 98 rural women whose partners are nonmigrant. Male migrants were recruited at work in two urban centers, 100 km and 700 km from their rural homes. Rural partners were traced and invited to participate. Nonmigrant couples were recruited for comparison. The study involved administration of a detailed questionnaire and blood collection for HIV testing. Testing showed that 25.9% of migrant men and 12.7% of nonmigrant men were infected with HIV ( P= 0.029; odds ratio = 2.4; 95% CI = 1.1-5.3). In multivariate analysis, main risk factors for male HIV infection were being a migrant, ever having used a condom, and having lived in four or more places during a lifetime. Being the partner of a migrant was not a significant risk factor for HIV infection among women; significant risk factors were reporting more than one current regular partner, being younger than 35 years, and having STD symptoms during the previous 4 months. Migration is an independent risk factor for HIV infection among men. Workplace interventions are urgently needed to prevent further infections. High rates of HIV were found among rural women, and the migration status of the regular partner was not a major risk factor for HIV. Rural women lack access to appropriate prevention interventions, regardless of their partners' migration status.
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                Author and article information

                Contributors
                Western Michigan University
                ,
                Michigan Department of Community Health, Lansing, Mich
                Michigan Department of Community Health, Lansing, Mich
                Michigan Department of Community Health, Lansing, Mich
                Western Michigan University, Kalamazoo, Mich
                Western Michigan University, Kalamazoo, Mich
                Western Michigan University, Kalamazoo, Mich
                University of Illinois-Chicago, Chicago, Ill
                University of Port Elizabeth, Port Elizabeth, South Africa
                Journal
                Prev Chronic Dis
                Preventing Chronic Disease
                Centers for Disease Control and Prevention
                1545-1151
                October 2004
                15 September 2004
                : 1
                : 4
                : A14
                Affiliations
                Western Michigan University
                Michigan Department of Community Health, Lansing, Mich
                Michigan Department of Community Health, Lansing, Mich
                Michigan Department of Community Health, Lansing, Mich
                Western Michigan University, Kalamazoo, Mich
                Western Michigan University, Kalamazoo, Mich
                Western Michigan University, Kalamazoo, Mich
                University of Illinois-Chicago, Chicago, Ill
                University of Port Elizabeth, Port Elizabeth, South Africa
                Article
                PCDv14_04_0070
                1277954
                15670446
                0416a9ae-7673-4ab8-a72d-db61f94afe00
                Copyright @ 2004
                History
                Categories
                Special Topics in Public Health

                Health & Social care
                Health & Social care

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